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Changes in respiratory vital signs that accompany respiratory compromise often precede in-hospital deterioration and are associated with increased mortality due to the high likelihood of decompensation into respiratory insufficiency and failure, as well as respiratory arrest. 1,2,3,4
Many in-hospital declines may be preventable with better respiratory monitoring and early intervention.5,6,7
Respiratory abnormalities are the most common type of abnormalities prior to ICU admission.8Moreover, inpatients with respiratory insufficiency, arrest and failure originating on the general care floor have higher mortality rates, longer length of stay and ICU stays compared to other patients.9
Therefore, implementing better strategies for prevention, monitoring for and management ofinsufficiency, arrest and failure in patients could lead to improved patient outcomes and decreased costs.
Research has demonstrated that respiratory dysfunction is a known precursor of many in-hospital adverse events, and its presence prior to the adverse events is associated with a higher rate of mortality.24 Clinical studies evaluating the relationship between abnormal vital sign observations and patient outcome have shown the respiratory parameters are the most predictive of adverse outcome. 2-4, 25-27
Multiple clinical studies have evaluated the utility of integrating continuous monitoring of patient respiratory status to increase early identification of respiratory compromise and improve outcome. 7,14
Learn more about each of these studies outlining the importance of continuous monitoring.
Incidence of respiratory adverse events in moderate to deep procedural sedation is often underestimated, still reported in published clinical studies28 and its consequences may, even if rarely, lead to death.28
The outcomes pledge program by Medtronic will help you measure the incidence of adverse events in your own setting, with your own clinical team and your own protocols and assess the impact of capnography monitoring on the prevention of such events.